کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3236045 | 1205497 | 2010 | 8 صفحه PDF | دانلود رایگان |

The presenting manifestations of systemic lupus erythematosus (SLE) are diverse and can present insidiously over years with nonspecific complaints or acutely with life-threatening symptoms. We report a case of a previously healthy 18-year-old female who presented to the pediatric emergency department with altered mental status, multi-system organ failure, and fulminant sepsis from pneumococcal meningitis. Further work-up of this patient confirmed a new diagnosis of SLE. This case highlights the potential degree of immune dysfunction in patients with SLE by opportunistic agents and common pathogens. A high index of suspicion for SLE in childhood is important as delays in diagnosis can lead to life-threatening complications and long-term sequelae.
Journal: Clinical Pediatric Emergency Medicine - Volume 11, Issue 4, December 2010, Pages 293–300